Nebulizers - JD DME
Nebulizers
Coverage
- Durable Medical Equipment Reference List National Coverage Determination (NCD)
- Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases NCD
- Nebulizers Local Coverage Determination (LCD)
- Nebulizers Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Clinician Checklist Nebulizers [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Letter - Documentation of Continued Medical Necessity [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Durable Medical Equipment - An Easy Option for Documenting Continued Use [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Nebulizer [PDF] - Letter may be sent to clinicians to help obtain documentation
- Nebulizers and Respiratory Drugs Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
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Maximum Frequency replacement accessories |
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Drug Waste Modifiers |
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Drugs: Maximum Milligrams/Month |
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Resources
- CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Sections 110, 110.1, 110.3
- CMS IOM, Publication 100-08, Medicare Program Integrity Manual, Chapter 5, Sections 5.2, 5.7, 5.8, 5.9
Last Updated Thu, 02 Feb 2023 20:00:06 +0000
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.